CENTRIA HEALTHCARE (NPI# 1649677873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649677873 |
| Entity Type | Organization |
| Organization Name | CENTRIA HEALTHCARE |
| Practice Address |
7893 Harding St Taylor MI 48180-2535 |
| Practice Telephone | 3133160923 |
| Mailing Telephone | 3133160923 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | MRS. MARIANNE DENISE RODEN (COTA/L) |
| Authorized Official Telephone | 3133160923 |
| Authorized Official Credential | COTA/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 5202001741 | MI | Ambulatory Health Care Facilities |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 5202001741 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5202001741 | 05 | |
| MI | ALL OTHER INSURANCE COMPANY | 5202001741 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437603578 | Centria Healthcare | Case Management | 2848 Clement St, Flint, MI 48504-3028 | 2016-08-06 |
| 1306399464 | Centria Healthcare | Case Management | 11310 Balfour Rd, Detroit, MI 48224-1111 | 2016-07-25 |
| 1881046217 | Centria Healthcare | Community/Behavioral Health | 3813 Clotell Dr, Fort Worth, TX 76119-7742 | 2016-07-09 |
| 1144672650 | Centria Healthcare | Technician, Other | 17591 Santa Rosa Dr, Detroit, MI 48221-2644 | 2016-07-08 |
| 1699127621 | Centria Healthcare | Community/Behavioral Health | 11051 Sandy Oak Trl, Cedar Springs, MI 49319-9238 | 2016-07-01 |
| 1518313246 | Centria Healthcare | Technician, Other | 1477 Burke Ave Ne Apt B, Grand Rapids, MI 49505-5366 | 2016-05-12 |
| 1669864484 | Centria Healthcare | Case Management | 17361 Prest St, Detroit, MI 48235-3731 | 2015-03-03 |
| 1942623871 | Centria Healthcare | Clinic/Center | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2014-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRIA HEALTHCARE LLC | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 |
| Virginia Business Entities | Centria Healthcare LLC | 27777 Inkster Road, Suite 100, Farmington Hills, Michigan 48334 |
| Colorado Business Entities | Centria Healthcare LLC | 27777 Inkster Rd., Ste. 100, Farmington Hills, MI 48334 |
| Washington State Corporations | CENTRIA HEALTHCARE LLC | 4816 Aurora Ave N, Seattle, WA 98103 |
| Oregon Corporations, Companies and Business Names | CENTRIA HEALTHCARE LLC | 27777 Inkster, Suite 100, Farmington Hills, MI 48334 |
| Indiana Business Entities | CENTRIA HEALTHCARE LLC | 41521 W 11 Mile Rd, Novi, MI 48375 |
| New York State Corporations | CENTRIA HEALTHCARE LLC | One Commerce Plaza, 99 Washington Avenue Ste 805-a, Albany, Ny 12210 |
| Street Address |
7893 HARDING ST |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154714178 | Marianne Roden | Occupational Therapy Assistant | 7893 Harding St, Taylor, MI 48180-2535 | 2015-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124209929 | Eai Employment Resources, Inc. | Day Training, Developmentally Disabled Services | 23015 Ecorse Rd, Taylor, MI 48180-1866 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696107 | Novus Living | Day Training, Developmentally Disabled Services | 7860 Wayne Rd, Romulus, MI 48174-1668 | 2020-07-21 |
| 1942850391 | Full Circle Care, LLC | Day Training, Developmentally Disabled Services | 5040 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2019-09-18 |
| 1649733635 | Dutton Farm, Inc | Day Training, Developmentally Disabled Services | 2290 Dutton Rd, Rochester Hills, MI 48306-2332 | 2019-04-08 |
| 1902360530 | Skill and Ability Education | Day Training, Developmentally Disabled Services | 4523 Connor Ct, Ypsilanti, MI 48197-9229 | 2019-01-28 |
| 1518437243 | Asd Smart Kids | Day Training, Developmentally Disabled Services | 337 Sylvan Drive, Canton, MI 48188-4818 | 2018-11-26 |
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1447731179 | Tony Edward Rice | Day Training, Developmentally Disabled Services | 21043 Bauman Rd, Battle Creek, MI 49017-8413 | 2018-08-21 |
| 1821590696 | Rise All Lives Matter | Day Training, Developmentally Disabled Services | 100 W Ferry St, Berrien Springs, MI 49103-1194 | 2018-03-07 |
| 1467976100 | Champions Forever, LLC | Day Training, Developmentally Disabled Services | 25750 Lahser Rd Ste 210, Southfield, MI 48033-5809 | 2017-08-02 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.